The flag appeared on a Tuesday. Bettany put it on the chart. Nara saw the name and held very still for one second — the specific stillness that was not managing something but receiving it — and then she moved. Fenn Calloway. Seventy-one years old. Cardiovascular irregularity. He'd come in for a routine check — not the type that was truly routine, the type that Nara had been scheduling with increasing frequency over the past two months because she was constitutionally incapable of leaving a potentially wrong reading unchecked. The imaging had flagged something. Not dramatic. Not critical. But flagged. She read the chart in the corridor outside consultation room three. She read it the way she read everything — completely, without skimming, allowing no false comfort from partial informati

